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VA MEDICAID WORKS - Safety Net

Enrollees in Virginia's MEDICAID WORKS program who are unable to sustain employment for longer than six months (under the "Good Cause" exception) must be evaluated for continued coverage in all other Medicaid covered groups for which the individual meets the definition. Resources held in the WIN Account that are accumulated from the enrollee's earnings while in MEDICAID WORKS will be disregarded up to the 1619(b) threshold amount for this eligibility determination.

If found eligible and enrolled in another Medicaid covered group, the individual has a "safety-net" period of up to one year from MEDICAID WORKS termination and enrollment in another group to dispose of these excess resources (if held in a regular checking or savings account that was designated as a WIN Account) before they are counted toward ongoing eligibility.

If the individual resumes working within the safety-net period, he may be re-enrolled in MEDICAID WORKS provided that all financial eligibility requirements and non-financial eligibility requirements are met, except that the resources in the Work Incentive (WIN) Account are disregarded up to the 1619(b) threshold amount.

If the individual wishes to be re-enrolled in MEDICAID WORKS after the one-year safety net period, any resources retained in a regular checking or savings account that was designated as a WIN Account are countable.

Resources accumulated while in MEDICAID WORKS and retained in an IRS-approved account that has been designated as a WIN Account are excluded in all future Medicaid determinations for former MEDICAID WORKS enrollees.

Also See:

Virginia MEDICAID WORKS - Overview

Virginia MEDICAID WORKS - Agreement

Virginia MEDICAID WORKS - Blindness and Disability

Virginia MEDICAID WORKS - Cost Sharing and Premium Payment

Virginia MEDICAID WORKS - Employment Considerations

Virginia MEDICAID WORKS - Entitlement and Enrollment

Virginia MEDICAID WORKS - Financial Eligibility

Virginia MEDICAID WORKS - Good Cause Exceptions

Virginia MEDICAID WORKS - Non-Financial Eligibility

VA MEDICAID WORKS - Work Incentive (WIN) Account

Source

Some information for this topic was drawn from the DMAS website at:
http://www.dmas.virginia.gov/downloads/pdfs/mb-FactSheet_Medicaid.pdf
http://www.dmas.virginia.gov/downloads/pdfs/rcp-medicaid_applicant_handbook.pdf

Additional information was drawn from Section M0320.211 of the Department of Social Services (DSS) Medicaid Manual.

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